| NPI | 1124686852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00727100) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-01-30 |